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[环境流行病学的新方法]

[New approaches to environmental epidemiology].

作者信息

Vineis Paolo

机构信息

Department of Epidemiology and Public Health, Imperial College, London, UK.

出版信息

Epidemiol Prev. 2009 Jul-Oct;33(4-5 Suppl 2):68-70.

Abstract

The collaboration between epidemiology and the laboratory (molecular investigations) has been proposed to face some of the limitations of epidemiological studies, in particular errors in exposure identification and assessment for environmental exposures. Molecular epidemiology has some advantages: changes in biomarkers appear early in the disease process, i.e. it is not necessary to wait for decades for the onset of a chronic disease in populations exposed to environmental contaminants; biomarkers allow a better quantification of <>, and draw our attention to the role of the environment and early damage rather than individual susceptibility. In the mean time limitations of biomarkers need to be addressed, in particular the lack of validation, the limited reproducibility of several biomarkers, and the fact that measurements are expensive and cumbersome.

摘要

流行病学与实验室(分子研究)之间的合作已被提出来应对流行病学研究的一些局限性,尤其是在环境暴露的暴露识别和评估方面的错误。分子流行病学具有一些优势:生物标志物的变化在疾病过程中出现得较早,也就是说,对于暴露于环境污染物的人群,无需等待数十年慢性病才发病;生物标志物能够更好地量化“内部暴露”,并使我们关注环境的作用和早期损害而非个体易感性。与此同时,生物标志物的局限性也需要解决,尤其是缺乏验证、几种生物标志物的可重复性有限,以及测量费用高昂且操作繁琐这一事实。

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